Healthcare Provider Details

I. General information

NPI: 1427363076
Provider Name (Legal Business Name): JOHN FRINK A.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 08/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2043 ANDERSON RD D
DAVIS CA
95616-0676
US

IV. Provider business mailing address

15550 ROCKFIELD BLVD B220
IRVINE CA
92618-2720
US

V. Phone/Fax

Practice location:
  • Phone: 530-400-1239
  • Fax:
Mailing address:
  • Phone: 949-598-9999
  • Fax: 949-598-9990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13661
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: